Multiphase Requirements Form

Company *

First Name *

Last Name *

Telephone *

Email *

Project Name *

Location *

Green or Brown Field

Date *

Oil Production Rated (BOPD)

Minimum (BOPD)

Maximum (BOPD)

Water Production Rated (BWPD)

Minimum (BWPD)

Maxiumum (BWPD)

Gas Production (in standard) Rated (MSCFD)

GOR - Rated

Minimum (MSCFD)

Maximum (MSCFD)

Pump Suction Pressure Suction Rated (PSIG)

Suction Minimum (PSIG)

Suction Maximum (PSIG)

Pump Discharge Pressure Discharge Rated (PSIG)

Discharge Minimum (PSIG)

Discharge Maximum (PSIG)

Well Shut-in Pressure Maximum (PSIG)

API Gravity - Rated

Specific Gravity - Rated

Starting Viscosity - Rated (cP)

Flowing Viscosity - Rated (cP)

Pump Suction Temperature (deg. F)

Solids (Volume %)

H2S (PPM)

CO2 Rated (PPM)

Minimum (PPM)

Maximum (PPM)

Wax or Parafin

Wax

Parafin

Prime Mover Type (Electrical, Natural Gas, Diesel)

Area Classification Requirement

Footprint Available (L x W)(Ft)

Isolation Valves by LEISTRITZ

Instrument & Control System (PLC/VFD) by LEISTRITZ

Relief Valves Required (ESD)

Available Electrical Power (V/Hz)

Flange Rating (PSIG per ANSI B16.5)

Paint Spec.

Available Utilities (Air, Water, Fuel, Gas)

Onshore or Offshore

Onshore

Offshore

Pump Discharging To

How Many Wells Are Feeding The Pump

Other Comments *

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